: 03712-267 004 application pro-forma for teaching

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Sl. No. …… Form No. …….

TEZPUR UNIVERSITY(A Central University established by an Act of Parliament)

NAPAAM :: TEZPUR – 784 028 :: ASSAM : 03712-267 004

APPLICATION PRO-FORMA FOR TEACHING POSITIONS

(Ref.: Advertisement No.________________)(Please read carefully the general conditions / instructions given

below before filling in the form)

Applicants must Paste here a

recent passport size photograph

To be returned to: The Registrar Tezpur University Napaam, Tezpur – 784 028Assam (India)

Details of application fee (Pl. see instructions below):1. Name of the bank: ……………………………………..2. Demand Draft/Bankers’ Cheque No. ………………...

Date …………………..3. Amount: Rs. …………..

GENERAL CONDITIONS / INSTRUCTIONS1. Only Indian nationals need to apply. 2. No application fee is required at the time of submission of application. However, if a candidate is called for

interview, he/she is to submit a non-refundable application fee of Rs. 500/- (Rupees five hundred only) (exempted for SC/ST/PWD candidates) in the form of Demand Draft only drawn on any nationalised bank in favour of Registrar, Tezpur University, payable at Tezpur. Application fee sent in other forms will not be accepted. Applicants must write his / her name, address and the post applied for on the overleaf of the bank draft.

3. For all the posts, where age limit is prescribed, the crucial date for calculating the same will be the last date of receipt of the applications as declared in the advertisement / University Website.

4. The University reserves the right to fill in or otherwise, any or all the advertised posts. 5. Mere fulfilment of minimum qualification and experience do not entitle a candidate to be called for the interview. 6. Minimum requirement of qualification and / or experience may be relaxed in respect of exceptionally outstanding

candidates. Candidate(s) with higher qualification will be preferred. 7. No correspondence whatsoever will be entertained from candidates regarding postal delay, conduct and result of

interview and reasons for not being called for the interview. 8. Persons in employment should submit their applications through proper channel with a forwarding note of

the employer in ‘Part-D’ of the application proforma. However, a photocopy of the duly filled in application form along with the Bank Draft in original may be sent as “Advance Copy” in order to avoid delay in receipt.

9. Applicants must fill-in all the parts (Part-A, Part-B, Part-C and Part-D) of the application form. Incomplete application and application not in the prescribed form and application without photocopies of certificates / mark sheets, proof of date of birth, caste certificate, etc. will be rejected. List of publications is to be attached with details of journal (International/ National) / Conference paper. In case of journal papers, impact factor is to be mentioned. A list of enclosures must be furnished as indicated in the application form.

10. Canvassing in any form will be a disqualification. 11. Any change of address for correspondence should be communicated to the Registrar, Tezpur University, giving

reference of the Advertisement and post(s) applied for. 12. The filled-in application form should be addressed to the “Registrar, Tezpur University, Napaam, - 784 028,

Assam (India) in an envelope superscribing “APPLICATION FOR THE POST OF …., Department of ……”. 13. The University reserves the right to consider for appointment of persons who have not applied against the

advertisement, if otherwise qualified. 14. Applicants are advised to give phone numbers and e-mail address in their own interest to facilitate prompt

communication. If short-listed, all communications regarding interview, etc. will be made preferably through e-mail.15. Applicants may attach additional sheet(s), wherever necessary, quoting the serial number.16. Applicants willing to apply for more than one post / department must send separate application forms for

each post(s).

Name in full (in CAPITAL letters): ……………………………………………………………………………

Post applied for: ………………………………… Department/Centre/Office……………………………….PWDGEN SC ST OBC

OH VH HHEx-ServicemanCategory you belong to

(Please tick ):

Signature of the applicant (To be returned with the filled in application form)

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PART-A (BRIEF PARTICULARS OF APPLICANT)

1. (a) Advertisement No. & Date:(b) Post applied for: (c) Department / Centre: (d) Field of specialisation opted for (out of those specified in the advertisement, if applicable):

2. Name in full (in CAPITAL letters): (Please underline the surname)

3. Father’s / Mother’s / Spouse’s Name: (Please tick )

4. (a) Marital Status: (b) Gender: (c) Blood Group

5. (a) Correspondence address (in CAPITAL letters): (b) Permanent address (in CAPITAL letters):

Land line (with STD)

(c) Phone No.Mobile

(d) e-mail:

6. Date of Birth (as per Christian era):

Day Month Year

7. Age on the last date of receipt of application as stated in the advertisement:

Years Month(s) Day(s)

8. Are you a citizen of India? Write YES or NO

SC ST OBC PWD Ex-Serviceman9. (a) Do you belong to Scheduled Caste / Scheduled Tribe / Other Backward Classes / Persons with Disability / Ex-serviceman?

Write SC/ST/OBC/PWD/Ex-serviceman as the case may be:

(b) If none, write NONE in the box:

OH VH HH(c) If you belong to PWD (Persons with Disability), then state the nature of disability as OH (Orthopaedically Handicapped), VH (Visually Handicapped) or HH (Hearing handicapped):

10. Religion:

11. *If appointed, what notice / how much time would you require for joining the post? (* May not be considered as binding)

I hereby declare that I have carefully read and understood the instructions and particulars supplied to me and that all the statements made in this application are true and complete to the best of my knowledge and belief. I understand that the competent authority can take appropriate action against me in case any of the information is found to be incorrect at any stage.

Date: Signature of the applicant

Place: Name in full: ……………………………………………..

(Applicants must also fill in the PART-B of the Application Form)

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PART-B1. Give particulars of all examinations passed, all degrees and technical qualifications obtained at a University or higher technical institutions of

learning, commencing with High School Leaving (10th standard) / Matriculation examination. Please attach photocopies of certificates and marksheets.

Sl. No.

School / College / InstituteName of the Board /

University / Institution

Degree /Diploma passed /obtained

Distinction/ Class /Division

Subject (mention field of specialisation / major, if any)

% ofMarks

Obtained/ Grade

Date of passing

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2. Particulars of GATE, UGC/CSIR NET clearance:

Name of the Test Year Roll No. Percentile Score (in case of GATE)

Subject

3. Details of employment, if any (give here particulars of your past and present employment in chronological order starting with present employment):

Sl. No.

Organisation / Institution Position heldNature of duties /

workDate of joining

Date of leaving

Length of service

Pay scaleAdditional remarks about

experience, if any*

* Specify if the position is (i) Pre-Ph.D. (ii) Post-Ph.D. (iii) Concurrently in Ph.D. Ph. D programme should be Ph. D degree. It should be evident from marksheets/ grade cards or a certificate to this effect should be enclosed. Further, period of Ph. D should be excluded from experience.

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4. (i) Present Post :

(ii) Present scale of pay :

(iii) Present basic pay :

(iv) Total emoluments drawn last month :

(v) Are you willing to accept the minimum

initial pay of the post applied for?

:

(vi) *If not what initial pay do you expect?

(* May not be binding)

:

5. (a) Teaching experience: Yrs.

Please give a list of courses taught on a separate sheet with course titles, level (UG/PG) and number of times taught.

(b) Research specialisation :

On a separate sheet, please describe briefly you research work / Ph. D. work. Also detail the areas of interest with work done in each case (if any).

(c) Laboratory experience : Yrs.

On a separate sheet, please describe, in brief, experience in: (i) Setting up teaching and research laboratories(ii) Conducting laboratory courses

(iii) Using different types of instruments, systems, computers etc.

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PART-C(API score on the basis of Performance Based Appraisal System)

Brief Explanation: Based on the teacher's self-assessment, API scores are proposed for research and academic contributions. The minimum API score required by teachers from this category is different for different levels of position and between university and colleges. The applicant is required to fill the following sectionsyearwise for the entire assessment period. The self-assessment score will be based on verifiable criteria and will be verified by the screening/selection committee.

SECTION – A: GENERAL1 Name of the applicant

2 Designation / post held by the applicant

3 Name of the Department / Centre of University

4 Name of the University / Organisation

5 Communication Address / E-mail / Telephone / Mobile of the applicant

6 YEAR OF PERFORMANCE APPRAISAL

SECTION - B:CATEGORY I: TEACHING, LEARNING AND EVALUATION RELATED ACTIVITIES

CATE-GORYI (A)

ITEMDETAILS

MAXIMUM SCORE

API SCORE TO BE

FILLED BY THE

CANDIDATE(To be given by the candidate)

VERIFIED API SCORE

OF THE CANDIDATE

1. Lectures, Seminars, tutorials, practicals, contact hours undertaken as percentage of those actual allocated

Below 80% : No score 80%-85% : 3586%-90% : 4091%-95% : 4596%- 100% : 50

50

2. Lectures or other teaching duties in excess of the UGC norms

Below 2= No score 2-4= 8 5+ = 10

10

3. (a) Preparation and imparting of knowledge / instruction as per curriculum;(b) Syllabus enrichment by providing additional resources to students

For (a)- 10

For (b)-1020

4. Use of participatory and innovative teaching-learning methodologies, updating of subject content, course improvement etc.

If used full score 20

5. Examination duties (Invigilation; question paper setting, evaluation/ assessment of answer scripts) as per allotment.

[Invigilation: 5question paper setting –10evaluation/ assessment of answer scripts-10

25

Total score- 125

Minimum API score required 75

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CATEGORY II: CO-CURRICULAR, EXTENSION AND PROFESSION RELATED ACTIVITIES

Sl. No.

ITEM DETAILSMAXIMUM

SCORE

API SCORE TO BE FILLED BY THE

CANDIDATE(To be given by the

candidate)

VERIFIED API SCORE

OF THE CANDIDATE

1. Student related co-curricular, extension and field based activities (such as extension work through NSS/ NCC and other channels, cultural activities, subject related events, advisement and counseling)

Activities may be in one or more than one particular field (s)

20

2. Contribution to Corporate life and management of the department and institution through participation in academic and administrative committees and responsibilities

Membership of committees 1 : 42-3 : 104 and above: 15 Dean, Students’ Welfare : 15Dean, R&D / Dean of School (Full term) : 15Head of the Department : 10

15

3. Professional Development activities (such as participation in seminars, conferences, short term training courses talks, lectures, membership of associations, dissemination and general articles, not covered in Category III below)

Seminars/ Conferences : 3

Short term training/ talks or Lectures: 3

Membership of associations :3Dissemination and general articles : 6

15

Total score 50

Minimum API Score Required 15

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CATEGORY-III: RESEARCH AND RELATED CONTRIBUTIONS

SlNo. APIs

Engineering / agriculture / veterinary

science / sciences / medicalsciences

Faculties of languages / arts / humanities / social

sciences / library / physical

education / management

Max. points for

university and college

teacherposition

Score to be filled by the candidate

Verified API

Score of the

candidate

Refereed Journals * Refereed Journals* 15/publication Non-refereed but recognized and reputable journals and periodicals, having ISBN/ISSN numbers.

Non-refereed but recognized and reputable journals and periodicals, having ISBN/ISSN numbers.

10/publication III (A) Research Papers

published in

(Detailed list to be enclosed)

Conference proceedings as full papers, etc. (Abstracts not to be included)

Conference proceedings as full papers, etc. (Abstracts not to be included)

10/publication

Text or Reference Books Published by International Publishers with an established peer review system

Text or Reference Books Published by International Publishers with an established peer review system

50/sole author; 10/chapter in an edited book

Subjects Books by National level publishers/ State and Central Govt. Publications with ISBN / ISSN numbers

Subject Books by / national level publishers/State and Central Govt. Publications with ISBN/ISSN numbers.

25/sole author, and 5/ chapter in edited books

Subjects Books by other local publishers with ISBN / ISSN numbers

Subject Books by Other local publishers with ISBN/ISSN numbers.

15/sole author, and 3 / chapter in edited books

Chapters contributed to edited knowledge based volumes published by International Publishers

Chapters contributed to edited knowledge based volumes published by International Publishers

10 /Chapter

III (B) Research Publications (books, chapters in books, other than refereed journal articles)


Chapters in knowledge based volumes in Indian/National level publishers with ISBN /ISSN numbers and with numbers of national and international directories

Chapters in knowledge based volumes in Indian/National level publishers with ISBN /ISSN numbers and with numbers of national and international directories

5 / Chapter

III (C) RESEARCH PROJECTS(a) Major Projects amount mobilized with grants above 30.0 lakhs

Major Projects amount mobilized with grants above 5.0 lakhs

20 /each Project

(b) Major Projects amount mobilized with grants above 5.0 lakhs up to 30.00 lakhs

Major Projects Amount mobilized with minimum of Rs. 3.00 lakhs up to Rs. 5.00 lakhs

15 /each Project

III (C) (i)

Sponsored Projects carried out/ ongoing


(c) Minor Projects (Amount mobilized with grants above Rs. 50,000 up to Rs. 5 lakh)

Minor Projects (Amount mobilized with grants above Rs. 25,000 up to Rs. 3 lakh)

10/each Project

III (C) (ii)

Consultancy Projects carried out / ongoing(Detailed list to be enclosed)

Amount mobilized with minimum of Rs.10.00 lakh

Amount mobilized with minimum of Rs. 2.0 lakhs

Rs.10.0 lakhs and Rs.2.0 lakhs, Respectively

III (C) (iii)

Completed projects: Quality Evaluation (Detailed list to be enclosed)

Completed project Report (Acceptance from funding agency)

Completed project report (Accepted by funding agency)

20 /each major project and 10 / each minor project

III (C) (iv)

Projects Outcome / Outputs (Detailed list to be enclosed)

Patent/Technology transfer/ Product/Process

Major Policy document of Govt. Bodies at Central and State level

30 / each national level output or patent /50 /each for International level

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III (D) RESEARCH GUIDANCE (Details to be enclosed):

III (D)(i) M. Phil. Degree awarded only Degree awarded only 3 /each candidate

III (D) (ii) Ph. D.

Degree awarded Degree awarded 10 /each candidate

Thesis submitted Thesis submitted 7 /each candidate

III(E) TRAINING COURSES AND CONFERENCE /SEMINAR/WORKSHOP PAPERS (Details to be enclosed):(a) Not less than two weeks duration

(a) Not less than two weeks duration

20/eachIII(E) (i)

Refresher courses, Methodology workshops, Training, Teaching-Learning-Evaluation Technology Programmes, Soft Skills development Programmes, Faculty Development Programmes (Max: 30 points)

(b) One week duration (b) One week duration 10/each

Participation and Presentation of research papers (oral/poster) in

Participation and Presentation of research papers(oral/poster) in

a) International conference

a)International conference

10 each

b) National b) National 7.5 / each

c) Regional/State level c) Regional/State level 5 /each

III(E)(ii)

Papers in Conferences/Seminars/workshops etc.**

d) Local -University/College level

d) Local -University/College level

3 / each

III(E) (iii)

Invited lectures or presentations for conferences/ symposia

(a) International (a) International 10 /each

(b) National level (b) National level 5

* Wherever relevant to any specific discipline, the API score for paper in refereed journal would be augmented as follows: (i) indexed journals - by 5 points; (ii) papers with impact factor between 1 and 2 by 10 points; (iii) papers with impact factor between 2 and 5 by 15 points; (iv) papers with impact factor between 5 and 10 by 25 points.

** If a paper presented in Conference/Seminar is published in the form of Proceedings, the points would accrue for the publication (III (a)) and not under presentation (III (e)(ii)).

NOTE:

The API for joint publications will have to be calculated in the following manner: Of the total score for the relevant category of publication by the concerned teacher, the first/Principal author and the corresponding author/supervisor/mentor of the teacher would share equally 60% of the total points and the remaining 40% would be shared equally by all other authors.

Summary of API Score as per PBAS (for the entire period of assessment)

CategoryMinimum Score

requiredScore obtained by

the candidateVerified API Score of

the candidateCategory-I

Category-II

Category-III

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PART-D

1. Have you previously applied for any post in this University? If so, give details.

2. Additional remarks: Applicant(s) may mention here any special qualifications or experiences e.g. in organisations, which have not been included under the heads given above.

3. References: Please arrange to send three letters of reference from responsible persons not related to you. If you are employed, one referee must be your employer. The reference letters must be sent in confidence by the referees directly to the Registrar, Tezpur University.(i) Name :

Designation :Address :

e-mail :Mobile / Phone No. with STD code

:

(ii) Name :Designation :Address :


:

(iii) Name :Designation :Address :


:

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4. List of Publications:

Sl. No.

Title with Page No.Journal with full reference and

ISBN/ISSN No. Whether peer reviewed.

Impact factor,if any

No. of co-authors

Whether you are the main

authorAPI score

API score verified by screening committee

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

* Additional page(s) may be used, if required.

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5. Details of enclosures sent with this application form: i) ii)

iii) iv)

v) vi)

vii) viii)

ix) x)

xi) xii)

xiii) xiv)

6. Declaration:

I hereby declare that I have carefully read and understood the instructions and particulars supplied to me and that all the statements made in this application are true and complete to the best of my knowledge and belief. I understand that the competent authority can take appropriate action against me in case any of the information is found to be incorrect at any stage.

Date: Signature of the applicant

Place: Name in full: ……………………………………………..

7. Forwarding note of the Employer:

Certified that …………………………………………………………………………… has been an employee of ………………………………………………………….. (name of the organization) since ………………… (date). At present he / she is working as ……………………………………….. . Information given by the employee in Part-A, Part-B and Part-C are correct as per records.

This organization has no objection to his / her applying for the position of …………………. ……………………… at Tezpur University.

Memo No. Signature:

Date: Name:

Place: Designation:

Office Seal: Name of the organization:

: 03712-267 004 application pro-forma for teaching

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